Pereira Ronaldo Gonçalves, Ribeiro Bruno Niemeyer de Freitas, Pereira Thais Ribeiro Gomes Coutinho, Bahia Paulo Roberto Valle, Marchiori Edson
Hospital Casa de Portugal / 3D Diagnóstico por Imagem, Rio de Janeiro, RJ, Brazil.
Grupo Labs Fleury/RJ, Rio de Janeiro, RJ, Brazil.
Radiol Bras. 2021 Nov-Dec;54(6):406-411. doi: 10.1590/0100-3984.2020.0127.
Diseases involving the spinal cord include a heterogeneous group of abnormalities, including those of inflammatory, infectious, neoplastic, vascular, metabolic, and traumatic origin. Making the clinical differentiation between different entities is often difficult, magnetic resonance imaging being the diagnostic method of choice. Although the neuroimaging findings are not pathognomonic, many are quite suggestive, and the radiologist can assist in the diagnosis and, consequently, in the therapeutic guidance. In this first part of our article, the objective is to review the magnetic resonance imaging findings of the main neoplastic, vascular, metabolic, and traumatic spinal cord injuries.
累及脊髓的疾病包括一组异质性异常,涵盖炎症性、感染性、肿瘤性、血管性、代谢性和创伤性病因导致的疾病。对不同类型疾病进行临床鉴别往往很困难,磁共振成像(MRI)是首选的诊断方法。虽然神经影像学表现并非具有特异性,但许多表现颇具提示性,放射科医生可协助诊断,进而指导治疗。在本文的第一部分,目的是综述主要的肿瘤性、血管性、代谢性和创伤性脊髓损伤的磁共振成像表现。